ENDOTRACHEAL TUBE LENGTH CHART*
|
|
- Ira Harrison
- 7 years ago
- Views:
Transcription
1 ENDOTRACHEAL TUBE LENGTH CHART* WEIGHT RANGE <1000 g g g >3000 g ET TUBE SIZE DEPTH OF ORAL INSERTION 2.5 mm 3 mm 3.5 mm 4 mm 6-7 cm 7-8 cm 8-9 cm 9-11 cm *Adapted from Oakes DF. Oakes Neonatal/Pediatric Respiratory Care: A Critical Care Pocket Guide. 5th ed. Orono, Me: Respiratory Books; (poractant alfa) INTRATRACHEAL SUSPENSION DOSING CHART INITIAL DOSE (200 mg/kg) WEIGHT REPEAT DOSE (100 mg/kg) WEIGHT EACH DOSE (ml) EACH DOSE (mg) EACH DOSE (ml) EACH DOSE (mg) INITIAL DOSE (200 mg/kg) * REPEAT DOSE (100 mg/kg) EACH DOSE (ml) EACH DOSE (mg) EACH DOSE (ml) EACH DOSE (mg) *Adapted from (poractant alfa) Intratracheal Suspension prescribing information, Cornerstone Therapeutics Inc, April 2010 Safety Information TRANSIENT ADVERSE EFFECTS SEEN WITH THE ADMINISTRATION OF (poractant alfa) INCLUDE BRADYCARDIA, HYPOTENSION, ENDOTRACHEAL TUBE BLOCKAGE, AND OXYGEN DESATURATION. These events require stopping administration and taking appropriate measures to alleviate the condition. After the patient is stable, dosing may proceed with appropriate monitoring. Correction of acidosis, hypotension, anemia, hypoglycemia, and hypothermia is recommended prior to administration. Surfactant administration can be expected to reduce the severity of RDS but will not eliminate the mortality and morbidity associated with other complications of prematurity. Please see accompanying full prescribing information. To learn more about, please contact Chiesi USA, Inc. at (888) or visit our website at is a registered trademark of Chiesi Farmaceutici, S.p.A Chiesi USA, Inc. All rights reserved. Printed in the USA. 05/14. C-Q Rev 3 (poractant alfa) Intratracheal Suspension
2 HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use safely and effectively. See full prescribing information for. (poractant alfa) intratracheal suspension Initial U.S. Approval: 1999 INDICATIONS AND USAGE is a surfactant indicated for the rescue treatment, including the reduction of mortality and pneumothoraces, of Respiratory Distress Syndrome (RDS) in premature infants. (1) DOSAGE AND ADMINISTRATION Before administering, assure proper placement and patency of endotracheal tube (2.1) Administer intratracheally either in (2.1): o Two divided aliquots after briefly disconnecting endotracheal o tube from ventilator; or A single aliquot through secondary lumen of a dual lumen endotracheal tube without interrupting mechanical ventilation Initial recommended dose is birth weight (2.2) Up to two repeat doses of birth weight may be administered at approximately 12-hour intervals (2.2) Maximum total dose (initial plus repeat doses) is 5 ml/kg (2.2) See Full Prescribing Information for instructions on preparation and administration of the suspension (2.3, 2.4) DOSAGE FORMS AND STRENGTHS Intratracheal Suspension: 80 mg poractant alfa (surfactant extract) in 1 ml of suspension includes 76 mg of phospholipids and 1 mg of protein of which 0.45 mg is SP-B and 0.59 mg is SP-C (3) CONTRAINDICATIONS None. (4) WARNINGS AND PRECAUTIONS Acute Changes in Lung Compliance: Frequently assess need to modify oxygen and ventilatory support to respiratory changes (5.1) Administration-Related Adverse Reactions: Transient adverse effects include bradycardia, hypotension, endotracheal tube blockage, and oxygen desaturation. These events require stopping administration and taking appropriate measures to alleviate the condition (5.2) ADVERSE REACTIONS Common adverse reactions associated with the administration of include bradycardia, hypotension, endotracheal tube blockage, and oxygen desaturation. (6) To report SUSPECTED ADVERSE REACTIONS, contact Chiesi USA, Inc. at or FDA at FDA-1088 or Revised: 12/2014 FULL PRESCRIBING INFORMATION: CONTENTS* 1 INDICATIONS AND USAGE 2 DOSAGE AND ADMINISTRATION 2.1 Important Administration Instructions 2.2 Recommended Dosage 2.3 Preparation of the Suspension 2.4 Administration 3 DOSAGE FORMS AND STRENGTHS 4 CONTRAINDICATIONS 5 WARNINGS AND PRECAUTIONS 5.1 Acute Changes in Oxygenation and Lung Compliance 5.2 Administration-Related Adverse Reactions 6 ADVERSE REACTIONS 6.1 Clinical Trials Experience 6.2 Immunogenicity 6.3 Postmarketing Experience 8 USE IN SPECIFIC POPULATIONS 8.4 Pediatric Use 10 OVERDOSAGE 11 DESCRIPTION 12 CLINICAL PHARMACOLOGY 12.1 Mechanism of Action 12.2 Pharmacodynamics 12.3 Pharmacokinetics 13 NONCLINICAL TOXICOLOGY 13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility 14 CLINICAL STUDIES 14.1 Rescue Treatment of Respiratory Distress Syndrome 16 HOW SUPPLIED/STORAGE AND HANDLING *Sections or subsections omitted from the full prescribing information are not listed.
3 FULL PRESCRIBING INFORMATION 1 INDICATIONS AND USAGE (poractant alfa) Intratracheal Suspension is indicated for the rescue treatment of Respiratory Distress Syndrome (RDS) in premature infants. reduces mortality and pneumothoraces associated with RDS. 2 DOSAGE AND ADMINISTRATION 2.1 Important Administration Instructions For intracheal administration only. should be administered by, or under the supervision of clinicians experienced in intubation, ventilator management, and general care of premature infants. Before administering, assure proper placement and patency of the endotracheal tube. At the discretion of the clinician, the endotracheal tube may be suctioned before administering. Allow the infant to stabilize before proceeding with dosing. Administer either: Intratracheally by instillation in two divided aliquots through a 5 French end-hole catheter after briefly disconnecting the endotracheal tube from the ventilator; or Intratracheally in a single aliquot through the secondary lumen of a dual lumen endotracheal tube without interrupting mechanical ventilation. 2.2 Recommended Dosage The initial recommended dose is birth weight (see Table 1), administered as one or two aliquots depending upon the instillation procedure [see Dosage and Administration (2.3)]. Up to two repeat doses of birth weight each may be administered at approximately 12-hour intervals in infants who remain intubated and in whom RDS is considered responsible for their persisting or deteriorating respiratory status. The maximum recommended total dosage (sum of the initial and up to two repeat doses) is 5 ml/kg. Table 1: Weight-Based Dosing Chart for Rescue Treatment of RDS Weight Initial Dose Repeat Dose Weight Initial Dose Repeat Dose Each Dose (ml) Each Dose (ml) Preparation of the Suspension 1) Remove the vial of suspension from a refrigerator at +2 to +8 C (36 to 46 F) and slowly warm the vial to room temperature before use. 2) Visually inspect the suspension for discoloration prior to administration. The color of the suspension should be white to creamy white. Discard the vial if the suspension is discolored. 3) Gently turn the vial upside-down, in order to obtain a uniform suspension. DO NOT SHAKE. 4) Locate the notch (FLIP UP) on the colored plastic cap and lift the notch and pull upwards. 5) Pull the plastic cap with the aluminum portion downwards. 6) Remove the whole ring by pulling off the aluminum wrapper. 7) Remove the rubber cap to extract content. 8) Unopened, unused vials of suspension that have warmed to room temperature can be returned to refrigerated storage within 24 hours for future use. Do not warm to room temperature and return to refrigerated storage more than once. Protect from light. 2.4 Administration For endotracheal tube instillation using a 5 French end-hole catheter 1) Slowly withdraw the entire contents of the vial of suspension into a 3 or 5 ml plastic syringe through a large-gauge needle (e.g., at least 20 gauge). Enter each single-use vial only once. 2) Attach the pre-cut 8-cm 5 end-hole French catheter to the syringe. Fill the catheter with suspension. Discard excess through the catheter so that only the dose to be given remains in the syringe. 3) When administering using a 5 French end-hole catheter, administer in two divided aliquots: For the first dose: (birth weight) per aliquot
4 For each repeated dose: ml/kg (birth weight) per aliquot 4) First aliquot of suspension: a) Position the infant in a neutral position (head and body in alignment without inclination), with either the right or left side dependent. b) Immediately before administration, change the infant s ventilator settings to a rate of breaths/minute, inspiratory time 0.5 second, and supplemental oxygen sufficient to maintain SaO 2 > 92%. c) Briefly disconnect the endotracheal tube from the ventilator. d) Insert the pre-cut 5 French catheter into the endotracheal tube and instill the first aliquot of suspension. e) After the first aliquot is instilled, remove the catheter from the endotracheal tube and manually ventilate the infant with 100% oxygen at a rate of breaths/minute for one minute. 5) Second aliquot of suspension: a) When the infant is stable, reposition the infant such that the other side is dependent. b) Administer the remaining aliquot using the same procedures as the first aliquot. 6) After completion of the dosing procedure, resume usual ventilator management and clinical care. Do not suction airways for 1 hour after surfactant instillation unless signs of significant airway obstruction occur. Post dosing, consider maintenance of PaO 2 of about 55 mmhg, PaCO 2 of 35-45, and ph > 7.3 [see Clinical Studies (14.1)]. For endotracheal instillation using the secondary lumen of a dual lumen endotracheal tube 1) Slowly withdraw the entire contents of the vial of suspension into a 3 or 5 ml plastic syringe through a large-gauge needle (e.g., at least 20 gauge). Do not attach 5 French end-hole catheter. Remove the needle and discard excess so that only the dose to be given remains in the syringe. 2) Keep the infant in a neutral position (head and body in alignment without inclination). 3) Administer suspension through the proximal end of the secondary lumen of the endotracheal tube as a single dose, given over 1 minute, and without interrupting mechanical ventilation. 4) After completion of this dosing procedure, ventilator management may require transient increases in FiO 2, ventilator rate, or PIP. Do not suction airways for 1 hour after surfactant instillation unless signs of significant airway obstruction occur. 3 DOSAGE FORMS AND STRENGTHS (poractant alfa) is an intratracheal suspension available in vials: 1.5 ml [120 mg poractant alfa (surfactant extract)], or 3 ml [(240 mg poractant alfa (surfactant extract)]. is a white to creamy white suspension. Each ml of suspension contains 80 mg poractant alfa (surfactant extract) that includes 76 mg of phospholipids and 1 mg of protein of which 0.45 mg is SP-B and 0.59 mg is SP-C. 4 CONTRAINDICATIONS None. 5 WARNINGS AND PRECAUTIONS 5.1 Acute Changes in Oxygenation and Lung Compliance The administration of exogenous surfactants, including, can rapidly affect oxygenation and lung compliance. Therefore, infants receiving should receive frequent clinical and laboratory assessments so that oxygen and ventilatory support can be modified to respond to respiratory changes. should only be administered by those trained and experienced in the care, resuscitation, and stabilization of pre-term infants. 5.2 Administration-Related Adverse Reactions Transient adverse reactions associated with administration of include bradycardia, hypotension, endotracheal tube blockage, and oxygen desaturation. These events require stopping administration and taking appropriate measures to alleviate the condition. After the patient is stable, dosing may proceed with appropriate monitoring. 6 ADVERSE REACTIONS 6.1 Clinical Trials Experience Because clinical studies are conducted under widely varying conditions, adverse reaction rates observed in the clinical studies of a drug cannot be directly compared to rates in the clinical studies of another drug and may not reflect the rates observed in practice. Adverse Reactions in Studies in Premature Infants with Respiratory Distress Syndrome The safety data described below reflect exposure to at a single dose of (200 mg/kg), in 78 infants of grams birth weight with RDS requiring mechanical ventilation and a FiO (Study 1) [see clinical studies (14.1)]. A total of 144 infants were studied after RDS developed and before 15 hours of age; 78 infants received single dose (200 mg/kg), and 66 infants received control treatment (disconnection from the ventilator and manual ventilation for 2 minutes).
5 Transient adverse effects seen with the administration of included bradycardia, hypotension, endotracheal tube blockage, and oxygen desaturation. The rates of the most common serious complications associated with prematurity and RDS observed in Study 1 are shown in Table 2. Table 2: Most Common Serious Complications Associated with Prematurity and RDS in Study 1 n=78 CONTROL* n=66 Acquired Pneumonia 17% 21% Acquired Septicemia 14% 18% Bronchopulmonary Dysplasia 18% 22% Intracranial Hemorrhage 51% 64% Patent Ductus Arteriosus 60% 48% Pneumothorax 21% 36% Pulmonary Interstitial Emphysema 21% 38% *Control patients were disconnected from the ventilator and manually ventilated for 2 minutes. No surfactant was instilled. Seventy-six infants (45 treated with ) from study 1 were evaluated at 1 year of age and 73 infants (44 treated with ) were evaluated at 2 years of age to assess for potential long-term adverse reactions. Data from follow-up evaluations for weight and length, persistent respiratory symptoms, incidence of cerebral palsy, visual impairment, or auditory impairment was similar between treatment groups. In 16 patients (10 treated with and 6 controls) evaluated at 5.5 years of age, the developmental quotient, derived using the Griffiths Mental Developmental Scales, was similar between groups. 6.2 Immunogenicity Immunological studies have not demonstrated differences in levels of surfactant-anti-surfactant immune complexes and anti- antibodies between patients treated with and patients who received control treatment. 6.3 Postmarketing Experience Pulmonary hemorrhage, a known complication of premature birth and very low birth-weight, has been reported both in clinical trials with and in postmarketing adverse event reports in infants who had received. 8 USE IN SPECIFIC POPULATIONS 8.4 Pediatric Use is indicated for the rescue treatment, including the reduction of mortality and pneumothoraces, of Respiratory Distress Syndrome (RDS) in premature infants [see Indications and Usage (1) and Dosage Administration (2)]. The safety and efficacy of in the treatment of full term infants or older pediatric patients with respiratory failure has not been established. 10 OVERDOSAGE There have been no reports of overdosage following the administration of. In the event of accidental overdosage, and if there are clear clinical effects on the infant's respiration, ventilation, or oxygenation, aspirate as much of the suspension as possible and provide the infant with supportive treatment, with particular attention to fluid and electrolyte balance. 11 DESCRIPTION (poractant alfa) is a sterile, non-pyrogenic pulmonary surfactant intended for intratracheal use only. is an extract of natural porcine lung surfactant consisting of 99% polar lipids (mainly phospholipids) and 1% hydrophobic low molecular weight proteins (surfactant associated proteins SP-B and SP-C). is a white to creamy white suspension of poractant alfa. Each milliliter of suspension contains 80 mg of poractant alfa (surfactant extract) that includes 76 mg of phospholipids and 1 mg of protein of which 0.45 mg is SP-B and 0.59 mg is SP-C. The amount of phospholipids is calculated from the content of phosphorus and contains 55 mg of phosphatidylcholine of which 30 mg is dipalmitoylphosphatidylcholine. It is suspended in 0.9% sodium chloride solution. The ph is adjusted with sodium bicarbonate to a ph of 6.2 (5.5 to 6.5). contains no preservatives.
6 12 CLINICAL PHARMACOLOGY 12.1 Mechanism of Action Endogenous pulmonary surfactant reduces surface tension at the air-liquid interface of the alveoli during ventilation and stabilizes the alveoli against collapse at resting transpulmonary pressures. A deficiency of pulmonary surfactant in preterm infants results in Respiratory Distress Syndrome (RDS) characterized by poor lung expansion, inadequate gas exchange, and a gradual collapse of the lungs (atelectasis). compensates for the deficiency of surfactant and restores surface activity to the lungs of these infants Pharmacodynamics In vitro - lowers minimum surface tension to 4mN/m as measured by the Wilhelmy Balance System Pharmacokinetics is administered directly to the lung, where biophysical effects occur at the alveolar surface. No human pharmacokinetic studies have been performed to characterize the absorption, biotransformation, or elimination of. 13 NONCLINICAL TOXICOLOGY 13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility Studies to assess potential carcinogenic effects of have not been conducted. Poractant alfa was negative for genotoxicity in the following assays: bacterial reverse mutation assay (Ames test), gene mutation assay in Chinese hamster V79 cells, chromosomal aberration assay in Chinese hamster ovary cells, unscheduled DNA synthesis in HELA S3 cells, and in vivo mouse micronucleus assay. No studies to assess reproductive effects of have been performed. 14 CLINICAL STUDIES 14.1 Rescue Treatment of Respiratory Distress Syndrome The clinical efficacy of in the treatment of established Respiratory Distress Syndrome (RDS) in premature infants was demonstrated in one single-dose study (Study 1) and one multiple-dose study (Study 2) involving approximately 500 infants. Each study was randomized, multicenter, and controlled. In study 1, premature infants 700 to 2000 grams birth weight with RDS requiring mechanical ventilation and a FiO were enrolled. single dose (200 mg/kg) or control (disconnection from the ventilator and manual ventilation for 2 minutes) was administered after RDS developed and before 15 hours of age. The results from Study 1 are shown below in Table 3. Table 3: Study 1 Results in Premature Infants with Respiratory Distress Syndrome Efficacy Parameter Single Dose n=78 Control n=67 p-value Mortality at 28 Days (All Causes) 31% 48% 0.05 Bronchopulmonary Dysplasia* 18% 22% N.S. Pneumothorax 21% 36% 0.05 Pulmonary Interstitial Emphysema 21% 38% 0.05 *Bronchopulmonary dysplasia (BPD) diagnosed by positive x-ray and supplemental oxygen dependence at 28 days of life. N.S.: not statistically significant In Study 2, premature infants 700 to 2000 g birth weight with RDS requiring mechanical ventilation and a FiO were enrolled. In this twoarm trial, was administered after RDS developed and before 15 hours of age, as a single-dose or as multiple doses. In the singledose arm, infants received (200 mg/kg). In the multiple-dose arm, the initial dose of was followed by up to two (100 mg/kg) doses of. The results from Study 2 are shown below in Table 4. Table 4: Study 2 Results in Premature Infants with Respiratory Distress Syndrome Efficacy Parameter Single Dose n=184 Rate (%) Multiple Dose n=173 Rate (%) p-value Mortality at 28 Days (All Causes) Bronchopulmonary Dysplasia* N.S. Pneumothorax Pulmonary Interstitial Emphysema N.S. *Bronchopulmonary dysplasia (BPD) diagnosed by positive x-ray and supplemental oxygen dependence at 28 days of life. N.S.: not statistically significant There is no controlled experience on the effects of administering initial doses of other than (200 mg/kg), subsequent doses other than (100 mg/kg), administration of more than three total doses, dosing more frequently than every 12 hours, or initiating
7 therapy with more than 15 hours after diagnosing RDS. Adequate data are not available on the use of in conjunction with experimental therapies of RDS, e.g., high-frequency ventilation or extracorporeal membrane oxygenation. 16 HOW SUPPLIED/STORAGE AND HANDLING (poractant alfa) intratracheal suspension is available in sterile, rubber-stoppered clear glass vials containing (one vial per carton): 1.5 ml [120 mg poractant alfa (surfactant extract)] of suspension: NDC Number: ml [(240 mg poractant alfa (surfactant extract)] of suspension. NDC Number: Store intratracheal suspension in a refrigerator at +2 to +8 C (36 to 46 F). PROTECT FROM LIGHT. Do not shake. Vials are for single use only. After opening the vial discard the unused portion [see Dosage and Administration (2.3)]. Manufactured for: Chiesi USA, Inc. Cary, NC Manufactured by and licensed from: Chiesi Farmaceutici, S.p.A. Parma, Italy CTC W
Selected Requirements of Prescribing Information
The Selected Requirements of Prescribing Information (SRPI) is a checklist of 42 important format prescribing information (PI) items based on labeling regulations [21 CFR 201.56(d) and 201.57] and guidances.
More informationLearn More About Product Labeling
Learn More About Product Labeling Product label The product label is developed during the formal process of review and approval by regulatory agencies of any medicine or medical product. There are specific
More informationMATERIAL SAFETY DATA SHEET
MATERIAL SAFETY DATA SHEET 1. IDENTIFICATION OF THE SUBSTANCE AND THE COMPANY Material Manufacturer Distributor Losartan Potassium and Hydrochlorothiazide Tablets 100 mg/12.5 mg Lupin Limited Goa 403 722
More informationFULL PRESCRIBING INFORMATION: CONTENTS*
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use PHOTREXA VISCOUS and PHOTREXA safely and effectively. See full prescribing information for PHOTREXA
More informationDO YOU HAVE ITCHY ALLERGY EYES? Find out about lasting relief
DO YOU HAVE ITCHY ALLERGY EYES? Find out about lasting relief Common causes of itching due to eye allergies include: Pollen from trees, grasses, and ragweed Dust mites Cat dander Approximately 10 million
More informationWhy is prematurity a concern?
Prematurity What is prematurity? A baby born before 37 weeks of pregnancy is considered premature. Approximately 12% of all babies are born prematurely. Terms that refer to premature babies are preterm
More informationAddendum to the NRP Provider Textbook 6 th Edition Recommendations for specific modifications in the Canadian context
Addendum to the NRP Provider Textbook 6 th Edition Recommendations for specific modifications in the Canadian context A subcommittee of the Canadian Neonatal Resuscitation Program (NRP) Steering Committee
More informationALLERGENIC EXTRACT. Prescription Set of Serial Dilutions (or Maintenance Vial (s)) INSTRUCTIONS FOR USE. U.S. Government License No.
ALLERGENIC EXTRACT Prescription Set of Serial Dilutions (or Maintenance Vial (s)) INSTRUCTIONS FOR USE U.S. Government License No. 308 Revised 07/04 PO Box 800 Lenoir, NC 28645 USA DESCRIPTION This set
More informationSee 17 for PATIENT COUNSELING INFORMATION. Revised: 3/2016 FULL PRESCRIBING INFORMATION: CONTENTS* WARNING: ADRENAL CRISIS IN THE SETTING OF SHOCK OR
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use LYSODREN safely and effectively. See full prescribing information for LYSODREN. LYSODREN (mitotane)
More informationNEONATAL RESUSCITATION PROVIDER (NRP) RECERTIFICATION TABLE OF CONTENTS
NEONATAL RESUSCITATION PROVIDER (NRP) RECERTIFICATION TABLE OF CONTENTS NEONATAL FLOW ALGORITHM.2 INTRODUCTION 3 ANTICIPATION OF RESUSCITATION 4 TEMPERATURE CONTROL.4 CLEARING THE AIRWAY OF MECONIUM 5
More informationReference ID: 3482803
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use EVZIO safely and effectively. See full prescribing information for EVZIO. EVZIO (naloxone hydrochloride
More information8.5 Geriatric Use * Sections or subsections omitted from the full prescribing information are not listed.
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use Injectafer safely and effectively. See full prescribing information for Injectafer. INJECTAFER (ferric
More information0.9% Sodium Chloride Injection, USP In VIAFLEX Plastic Container
Page 1 of 8 PRESCRIBING INFORMATION 0.9% Sodium Chloride Injection, USP In VIAFLEX Plastic Container IV Fluid and Electrolyte Replenisher Baxter Corporation Mississauga, Ontario L5N 0C2 Canada Date of
More information2 DOSAGE AND ADMINISTRATION 2.1 Dosing and Dose Adjustment
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use Auryxia safely and effectively. See full prescribing information for Auryxia. Auryxia (ferric citrate)
More informationHigh-Frequency Oscillatory Ventilation
High-Frequency Oscillatory Ventilation Arthur Jones EdD, RRT Learning Objectives Describe the indications and rationale and monitoring for HFOV. Identify HFOV settings and describe the effects of their
More informationNRP 2012 Putting New Resuscitation Guidelines into Practice
Outreach Education Online Video Library for Healthcare Professionals NRP 2012 Putting New Resuscitation Guidelines into Practice. Jeanette Zaichkin, RN, MN, NNP-BC December 2, 2010 Program Handouts This
More informationInstructions for Use PROCRIT (PRO KRIT) (epoetin alfa)
Instructions for Use PROCRIT (PROKRIT) (epoetin alfa) Use these Instructions for Use if you or your caregiver has been trained to give PROCRIT injections at home. Do not give yourself the injection unless
More informationNew 7/1/2015 MCFRS 1
New 7/1/2015 MCFRS 1 The providers will summarize the need for this change from an epinephrine auto injector The provider will define the proper dosage of epinephrine for the adult and pediatric patient
More informationPHOSPHATE-SANDOZ Tablets (High dose phosphate supplement)
1 PHOSPHATE-SANDOZ Tablets (High dose phosphate supplement) PHOSPHATE-SANDOZ PHOSPHATE-SANDOZ Tablets are a high dose phosphate supplement containing sodium phosphate monobasic. The CAS registry number
More informationNICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.
Diabetic ketoacidosis in children and young people bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed to be used online. They
More information3% Sodium Chloride Injection, USP 5% Sodium Chloride Injection, USP
PRESCRIBING INFORMATION 3% Sodium Chloride Injection, USP 5% Sodium Chloride Injection, USP IV Fluid and Electrolyte Replenisher Baxter Corporation Mississauga, Ontario L5N 0C2 Canada Date of Revision:
More informationMECHINICAL VENTILATION S. Kache, MD
MECHINICAL VENTILATION S. Kache, MD Spontaneous respiration vs. Mechanical ventilation Natural spontaneous ventilation occurs when the respiratory muscles, diaphragm and intercostal muscles pull on the
More informationMECHANICAL VENTILATION IN THE NEONATE
Supplemental Resources for the PICU/NICU MECHANICAL VENTILATION IN THE NEONATE I. GENERAL PRINCIPLES A. NEONATAL VENTILATORS We use three types of neonatal ventilators in the NICU: 1. SIMV (Synchronized
More informationSWISS SOCIETY OF NEONATOLOGY. Selective bronchial occlusion in a preterm infant with unilateral pulmonary interstitial emphysema
SWISS SOCIETY OF NEONATOLOGY Selective bronchial occlusion in a preterm infant with unilateral pulmonary interstitial emphysema December 2002 2 Riedel T, Pfenninger J, Pediatric Intensive Care Unit, University
More informationNONCLINICAL EVALUATION FOR ANTICANCER PHARMACEUTICALS
INTERNATIONAL CONFERENCE ON HARMONISATION OF TECHNICAL REQUIREMENTS FOR REGISTRATION OF PHARMACEUTICALS FOR HUMAN USE ICH HARMONISED TRIPARTITE GUIDELINE NONCLINICAL EVALUATION FOR ANTICANCER PHARMACEUTICALS
More informationA. All cells need oxygen and release carbon dioxide why?
I. Introduction: Describe how the cardiovascular and respiratory systems interact to supply O 2 and eliminate CO 2. A. All cells need oxygen and release carbon dioxide why? B. Two systems that help to
More informationNeonatal Reference Guide
Operated by REACH Air Medical Services Assessment Heart Rate (beats/min.) Age Rate
More informationPrior Authorization Guideline
Prior Authorization Guideline Guideline: PDP IBT Inj - Vivitrol Therapeutic Class: Central Nervous System Agents Therapeutic Sub-Class: Opiate Antagonist Client: 2007 PDP IBT Inj Approval Date: 2/20/2007
More information3100B Clinical Training Program. 3100B HFOV VIASYS Healthcare
3100B Clinical Training Program 3100B HFOV VIASYS Healthcare HFOV at Alveolar Level Nieman,, G, SUNY 1999 Who DO We Treat? Only Pathology studied to date has been ARDS Questions about management of adults
More informationCommunity Ambulance Service of Minot ALS Standing Orders Legend
Legend Indicates General Information and Guidelines Indicates Procedures Indicates Medication Administration Indicates Referral to Other Protocol Indicates Referral to Online Medical Direction Pediatric
More informationRECONSTITUTING MEDICATIONS: HOW TO FLUFF UP MEDICATIONS
RECONSTITUTING MEDICATIONS: HOW TO FLUFF UP MEDICATIONS After the completion of this module you will be able to: Define medication reconstitution. Read a medication label. Reconstitute a medication. Calculate
More informationZOVIRAX Cold Sore Cream
Data Sheet ZOVIRAX Cold Sore Cream Aciclovir 5% w/w Presentation Topical cream Indications ZOVIRAX Cold Sore Cream is indicated for the treatment of Herpes simplex virus infections of the lips and face
More informationAnimalgeiscs for Mice & Rats, 3.0 ml Vial Label: Carton Label:
Animalgeiscs for Mice & Rats, 3.0 ml Vial Label: Carton Label: Animalgesics for Mice & Rats, 1.6 ml Vial Label: Carton Label: Animalgesics for Mice & Rats (buprenorphine extended-release injectable suspension)
More informationPerfalgan 10 mg/ml, solution for infusion
PACKAGE LEAFLET: INFORMATION FOR THE USER Perfalgan 10 mg/ml, solution for infusion Paracetamol Read all of this leaflet carefully before you start using this medicine. Keep this leaflet. You may need
More information-------------------------------CONTRAINDICATIONS----------------------------- Do not use during episodes of hypoglycemia. (4)
1 HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use HUMULIN R U-500 safely and effectively. See full prescribing information for HUMULIN R U-500. HUMULIN
More informationPHENYLEPHRINE HYDROCHLORIDE INJECTION USP
PRESCRIBING INFORMATION PHENYLEPHRINE HYDROCHLORIDE INJECTION USP 10 mg/ml Sandoz Canada Inc. Date of Preparation: September 1992 145 Jules-Léger Date of Revision : January 13, 2011 Boucherville, QC, Canada
More informationTRACHEOSTOMY TUBE PARTS
Page1 NR 33 TRACHEOSTOMY CARE AND SUCTIONING Review ATI Basic skills videos: Tracheostomy care and Endotracheal suction using a closed suction set. TRACHEOSTOMY TUBE PARTS Match the numbers on the diagram
More informationExtracorporeal Life Support Organization (ELSO) Guidelines for Neonatal Respiratory Failure
Extracorporeal Life Support Organization (ELSO) Guidelines for Neonatal Respiratory Failure Introduction This neonatal respiratory failure guideline is a supplement to ELSO s General Guidelines for all
More information*Reflex withdrawal from a painful stimulus is NOT considered a purposeful response.
Analgesia and Moderate Sedation This Nebraska Board of Nursing advisory opinion is issued in accordance with Nebraska Revised Statute (NRS) 71-1,132.11(2). As such, this advisory opinion is for informational
More informationNeonatal Emergencies. Care of the Neonate. Care of the Neonate. Care of the Neonate. Student Objectives. Student Objectives continued.
Student Objectives Neonatal Emergencies After completing this section the student will be able to: 1. Identify three physiologic and/or anatomic features unique to the newborn 2. List three perinatal factors
More informationPACKAGE LEAFLET: INFORMATION FOR THE USER. VITAMINE B12 STEROP 1mg/1ml Solution for injection / oral solution. Cyanocobalamin
PACKAGE LEAFLET: INFORMATION FOR THE USER VITAMINE B12 STEROP 1mg/1ml Solution for injection / oral solution Cyanocobalamin Read all of this leaflet carefully before you start using this medicine because
More informationFOR ORAL OR RECTAL ADMINISTRATION FOR THE PREVENTION AND TREATMENT OF PORTAL-SYSTEMIC ENCEPHALOPATHY
FORM NO. 1360 VC3074 Rev.2/08 LACTULOSE SOLUTION, USP 10 g/15 ml FOR ORAL OR RECTAL ADMINISTRATION FOR THE PREVENTION AND TREATMENT OF PORTAL-SYSTEMIC ENCEPHALOPATHY Rx Only DESCRIPTION Lactulose is a
More informationHow Does a Doctor Test for AIDS?
Edvo-Kit #S-70 How Does a Doctor Test for AIDS? S-70 Experiment Objective: The Human Immunodefi ciency Virus (HIV) is an infectious agent that causes Acquired Immunodefi ciency Syndrome (AIDS) in humans.
More informationHummi Micro Draw Blood Transfer Device. The Next Generation System for Closed Micro Blood Sampling in the Neonate
Hummi Micro Draw Blood Transfer Device The Next Generation System for Closed Micro Blood Sampling in the Neonate Current Methods for Umbilical Blood Sampling Current Methods for Umbilical Blood Sampling
More informationTeriflunomide is the active metabolite of Leflunomide, a drug employed since 1994 for the treatment of rheumatoid arthritis (Baselt, 2011).
Page 1 of 10 ANALYTE NAME AND STRUCTURE TERIFLUNOMIDE Teriflunomide TRADE NAME Aubagio CATEGORY Antimetabolite TEST CODE PURPOSE Therapeutic Drug Monitoring GENERAL RELEVANCY BACKGROUND sclerosis. The
More informationRevised: 9/2014. LUMIGAN (bimatoprost ophthalmic solution) 0.01% for topical ophthalmic use. Initial U.S. Approval: 2001
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use LUMIGAN (bimatoprost ophthalmic solution) 0.01% safely and effectively. See full prescribing information
More information1) Aug 2005 In Vitro Chromosomal Aberration Study Cytotoxicity (File: TS39) Conclusion No cytotoxicity can be detected at concentrations up to 100%.
Endotoxicity and Cytotoxicity Studies 1) Aug 2005 In Vitro Chromosomal Aberration Study Cytotoxicity (File: TS39) Chinese Hamster Ovary (CHO) cells were grown in monolayer with and without metabolic activation.
More informationOverview of Phase 1 Oncology Trials of Biologic Therapeutics
Overview of Phase 1 Oncology Trials of Biologic Therapeutics Susan Jerian, MD ONCORD, Inc. February 28, 2008 February 28, 2008 Phase 1 1 Assumptions and Ground Rules The goal is regulatory approval of
More informationPolicy and Procedure Flushing and / or Blood withdrawal Aspiration Procedure For PICC Line and Midline Catheters
Policy and Procedure Flushing and / or Blood withdrawal Aspiration Procedure For PICC Line and Midline Catheters Purpose: Blood Withdrawal: To obtain blood samples for laboratory evaluation, eliminating
More informationOxygenation and Oxygen Therapy Michael Billow, D.O.
Oxygenation and Oxygen Therapy Michael Billow, D.O. The delivery of oxygen to all body tissues is the essence of critical care. Patients in respiratory distress/failure come easily to mind as the ones
More informationEileen Whitehead 2010 East Lancashire HC NHS Trust
Eileen Whitehead 2010 East Lancashire HC NHS Trust 1 Introduction: Arterial blood gas analysis is an essential part of diagnosing and managing a patient s oxygenation status and acid-base balance However,
More informationEMS Branch / Office of the Medical Director. Active Seziures (d) Yes Yes Yes Yes. Yes Yes No No. Agitation (f) No Yes Yes No.
M07 Medications 2015-07-15 All ages EMS Branch / Office of the Medical Director Benzodiazepines Primary Intermediate Advanced Critical INDICATIONS Diazepam (c) Lorazepam (c) Midazolam (c) Intranasal Midazolam
More informationPHYSICIAN OFFICE BILLING INFORMATION SHEET FOR IMLYGIC (talimogene laherparepvec)
PHYSICIAN OFFICE BILLING INFORMATION SHEET FOR IMLYGIC (talimogene laherparepvec) INDICATION IMLYGIC is a genetically modified oncolytic viral therapy indicated for the local treatment of unresectable
More informationOxygen Therapy. Oxygen therapy quick guide V3 July 2012.
PRESENTATION Oxygen (O 2 ) is a gas provided in a compressed form in a cylinder. It is also available in a liquid form. It is fed via a regulator and flow meter to the patient by means of plastic tubing
More informationOne Lung Ventilation Module (OLV)
1 One Lung Ventilation Module (OLV) A Thoracic Surgery Directors Association (TSDA) Cardiothoracic Surgery Resident Boot Camp Syllabus The ability to isolate one of the lungs is an essential skill set
More informationCrash Cart Drugs Drugs used in CPR. Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University
Crash Cart Drugs Drugs used in CPR Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University Introduction A list of the drugs kept in the crash carts. This list has been approved by the
More informationEvaluation and treatment of emphysema in a preterm infant
ISPUB.COM The Internet Journal of Pediatrics and Neonatology Volume 11 Number 1 Evaluation and treatment of emphysema in a preterm infant T Saad, P Chess, W Pegoli, P Katzman Citation T Saad, P Chess,
More informationSafe Zone: CV PIP < 26; HFOV: MAP < 16; HFJV: MAP < 16 Dopamine infusion up to 20 mcg/kg/min Epinephrine infusion up to 0.1 mcg /kg/min.
Congenital Diaphragmatic Hernia: Management Guidelines 5-2006 Issued By: Division of Neonatology Reviewed: Effective Date: Categories: Chronicity Document Congenital Diaphragmatic Hernia: Management Guidelines
More informationNEEDLE THORACENTESIS Pneumothorax / Hemothorax
NEEDLE THORACENTESIS Pneumothorax / Hemothorax By: Steven Jones, NREMT-P Pneumothorax Pneumothorax is a collection of air or gas in the pleural space of the lung, causing the lung to collapse. Pneumothorax
More informationLothian Diabetes Handbook MANAGEMENT OF DIABETIC KETOACIDOSIS
MANAGEMENT OF DIABETIC KETOACIDOSIS 90 MANAGEMENT OF DIABETIC KETOACIDOSIS Diagnosis elevated plasma and/or urinary ketones metabolic acidosis (raised H + /low serum bicarbonate) Remember that hyperglycaemia,
More informationACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) S. Agarwal, MD, S. Kache MD
ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) S. Agarwal, MD, S. Kache MD Definition ARDS is a clinical syndrome of lung injury with hypoxic respiratory failure caused by intense pulmonary inflammation that
More information1.4.4 Oxyhemoglobin desaturation
Critical Care Therapy and Respiratory Care Section Category: Clinical Section: Clinical Monitoring Title: Monitoring of Patients Undergoing Conscious Sedation Policy #: 09 Revised: 05/00 1.0 DESCRIPTION
More informationHypromellose Eye Drops BP 0.3% w/v PL 23097/0006
Hypromellose Eye Drops BP 0.3% w/v PL 23097/0006 UKPAR TABLE OF CONTENTS Lay summary Page 2 Scientific discussion Page 3 Steps taken for assessment Page 9 Summary of product characteristics Page 10 Patient
More informationHow To Determine The Difference Between Long Versus Short Inspiratory Times In Neonates
Long versus short inspiratory times in neonates receiving mechanical ventilation (Review) Kamlin COF, Davis PG This is a reprint of a Cochrane review, prepared and maintained by The Cochrane Collaboration
More informationBeaumont Hospital Department of Nephrology and Renal Nursing. Guideline for administering Ferinject
Beaumont Hospital Department of Nephrology and Renal Nursing Guideline Name: Guideline for administering Ferinject Guideline Number: 18 Guideline Version: a Developed By: Louise Kelly CNM 1 Renal Day Care
More informationPulmonary Ventilation
Pulmonary Ventilation Graphics are used with permission of: Pearson Education Inc., publishing as Benjamin Cummings (http://www.aw-bc.com) Page 1. Introduction Pulmonary ventilation, or breathing, is the
More informationDrug Coding and CPT (Current Procedural Terminology) Guidance
Aridol (mannitol inhalation powder) Bronchial Challenge Test Kit NDC 44178-0552-1 Drug Coding and CPT (Current Procedural Terminology) Guidance Product Reimbursement Code: HCPCS Code 1 Description 1 J7665
More informationFDA Update on the H1N1 Flu Vaccine and Antiviral Medications
FDA Update on the H1N1 Flu Vaccine and Antiviral Medications Beth Fabian Fritsch, R.Ph., M.B.A. Commander, U.S. Public Health Service Health Programs Coordinator Office of Special Health Issues Food and
More informationMedications or therapeutic solutions may be injected directly into the bloodstream
Intravenous Therapy Medications or therapeutic solutions may be injected directly into the bloodstream for immediate circulation and use by the body. State practice acts designate which health care professionals
More informationGuy s, King s and St Thomas Cancer Centre The Cancer Outpatient Clinic Central venous catheter: Peripherally inserted central catheter
Guy s, King s and St Thomas Cancer Centre The Cancer Outpatient Clinic Central venous catheter: Peripherally inserted central catheter This information leaflet aims to help answer some of the questions
More informationHUMULIN (HU-mu-lin) N
Instructions for Use HUMULIN (HU-mu-lin) N (human insulin [rdna origin] isophane suspension) vial (100 Units/mL, U-100) Read the Instructions for Use before you start taking HUMULIN N and each time you
More informationCommon Ventilator Management Issues
Common Ventilator Management Issues William Janssen, M.D. Assistant Professor of Medicine National Jewish Health University of Colorado Denver Health Sciences Center You have just admitted a 28 year-old
More informationI-140 Venipuncture for Blood Specimen Collection
I-140 Venipuncture for Blood Specimen Collection Purpose Obtain a blood specimen by venipuncture for laboratory analysis using aseptic technique. Applies To Registered Nurses Licensed Practical/Vocational
More informationRADIOPHARMACEUTICALS BASED ON MONOCLONAL ANTIBODIES
RADIOPHARMACEUTICALS BASED ON MONOCLONAL ANTIBODIES Guideline Title Radiopharmaceuticals based on Monoclonal Antibodies Legislative basis Directives 65/65/EEC, 75/318/EEC as amended, Directive 89/343/EEC
More informationACID-BASE DISORDER. Presenter: NURUL ATIQAH AWANG LAH Preceptor: PN. KHAIRUL BARIAH JOHAN
ACID-BASE DISORDER Presenter: NURUL ATIQAH AWANG LAH Preceptor: PN. KHAIRUL BARIAH JOHAN OBJECTIVES OF PRESENTATION 1. To refresh knowledge of acid-base disorders 2. To evaluate acid-base disorders using
More informationOxygenation. Chapter 21. Anatomy and Physiology of Breathing. Anatomy and Physiology of Breathing*
Oxygenation Chapter 21 Anatomy and Physiology of Breathing Inspiration ~ breathing in Expiration ~ breathing out Ventilation ~ Movement of air in & out of the lungs Respiration ~ exchange of O2 & carbon
More informationNeonatal Intubation. Purpose. Scope. Indications. Equipment Cardiorespiratory monitor SaO 2 monitor. Anatomic Considerations.
Page 1 of 5 Purpose Scope Indications Neonatal Intubation To assure proper placement of endotracheal tubes for maximum ventilation using proper intubation procedures. The policy applies to all Respiratory
More informationACTEMRA (tocilizumab) injection, for intravenous use injection, for subcutaneous use Initial U.S. Approval: 2010
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use ACTEMRA safely and effectively. See full prescribing information for ACTEMRA. ACTEMRA (tocilizumab)
More informationAirway Pressure Release Ventilation
Page: 1 Policy #: 25.01.153 Issued: 4-1-2006 Reviewed/ Revised: Section: 10-11-2006 Respiratory Care Airway Pressure Release Ventilation Description/Definition Airway Pressure Release Ventilation (APRV)
More informationKING FAISAL SPECIALIST HOSPITAL AND RESEARCH CENTRE (GEN. ORG.) NURSING AFFAIRS. Scope of Service PEDIATRIC INTENSIVE CARE UNIT (PICU)
PICU-Jan.2012 Page 1 of 7 Number of Beds: 18 Nurse Patient Ratio: 1:1-2 : The Pediatric Intensive Care Unit (PICU) provides 24 hour intensive nursing care for patients aged neonate through adolescence.
More informationFor Educational Use Only - Not for Detailing or Distribution
This document is intended for healthcare professionals practicing in the United States and may contain information that has not been approved by the FDA. It is supplied to you as a professional courtesy
More informationMA 2000 Pharmacology for Medical Assistants
South Central College MA 2000 Pharmacology for Medical Assistants Course Information Description Total Credits 3.00 Total Hours 64.00 Types of Instruction In this course students will learn topics essential
More informationSYNOPSIS. Risperidone: Clinical Study Report CR003274
SYNOPSIS Protocol No: CR003274 Title of Study: An Open-Label, Long-Term Trial of Risperidone Long-Acting Microspheres in the Treatment of Subjects Diagnosed with Schizophrenia Coordinating Investigator:
More informationUnderstanding Hypoventilation and Its Treatment by Susan Agrawal
www.complexchild.com Understanding Hypoventilation and Its Treatment by Susan Agrawal Most of us have a general understanding of what the term hyperventilation means, since hyperventilation, also called
More informationA4.7 Management of a totally occluded central catheter and persistent withdrawal occlusion (PWO)
A4.7 Management of a totally occluded central catheter and persistent withdrawal occlusion (PWO) Types of Catheter Related Thrombotic A catheter-related thrombus may be intraluminal (inside the catheter)
More informationQuestions and Answers for Health Care Providers: Renal Dosing and Administration Recommendations for Peramivir IV
Questions and Answers for Health Care Providers: Renal Dosing and Administration Recommendations for Peramivir IV The purpose of this document is to provide additional clarification to the existing information
More informationANNE ARUNDEL MEDICAL CENTER CRITICAL CARE MEDICATION MANUAL DEPARTMENT OF NURSING AND PHARMACY. Guidelines for Use of Intravenous Isoproterenol
ANNE ARUNDEL MEDICAL CENTER CRITICAL CARE MEDICATION MANUAL DEPARTMENT OF NURSING AND PHARMACY Guidelines for Use of Intravenous Isoproterenol Major Indications Status Asthmaticus As a last resort for
More informationSession 6 Clinical Trial Assessment Phase I Clinical Trial
L1 Session 6 Clinical Trial Assessment Phase I Clinical Trial Presentation to APEC Preliminary Workshop on Review of Drug Development in Clinical Trials Celia Lourenco, PhD, Manager, Clinical Group I Office
More informationManagement of Infants with BPD: Evidence-Based or Eminence-Based?
Management of Infants with BPD: Evidence-Based or Eminence-Based? Steven M. Donn, MD, FAAP Professor of Pediatrics Division of Neonatal-Perinatal Medicine C.S. Mott Children s Hospital University of Michigan
More informationUpdate on Small Animal Cardiopulmonary Resuscitation (CPR)- is anything new?
Update on Small Animal Cardiopulmonary Resuscitation (CPR)- is anything new? DVM, DACVA Objective: Update on the new Small animal guidelines for CPR and a discussion of the 2012 Reassessment Campaign on
More informationPLEGRIDY (peginterferon beta-1a) injection, for subcutaneous injection Initial U.S. Approval: 2014
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use PLEGRIDY safely and effectively. See full prescribing information for PLEGRIDY. PLEGRIDY (peginterferon
More informationMEDICATION MANUAL Policy & Procedure
MEDICATION MANUAL Policy & Procedure TITLE: Section: Initial Management of Anaphylaxis Following Immunization Medication Specific NUMBER: MM 20-005 Date Issued: October 2009 Source: Distribution: Capital
More informationintervals. More frequent or higher doses up to 80 IU/kg may be required in children less than 6 years of age. (2)
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use ELOCTATE safely and effectively. See full prescribing information for ELOCTATE. ELOCTATE [Antihemophilic
More informationAdministering Medications
Administering Medications Pharmacology for Healthcare Professionals seventh edition Donna F. Gauwitz, R.N., Nursing Consultant Senior Teaching Specialist of Nursing University of Minnesota Minnesota and
More informationGuidance for Industry
Guidance for Industry S9 Nonclinical Evaluation for Anticancer Pharmaceuticals U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER) Center
More informationElements for a Public Summary
VI.2 Elements for a Public Summary VI.2.1 Overview of Disease Epidemiology Hunter syndrome is a rare genetic disease which mainly affects males of all ethnicities. The incidence rate ranges from 0.6 to
More informationProcedure -8. Intraosseous Infusion Adult and Pediatric EZIO. Page 1 of 7 APPROVED:
Page 1 of 7 Intraosseous Infusion Adult and Pediatric APPROVED: EMS Medical Director EMS Administrator 1. Goals/Introduction: 1.1 Intraosseous (IO) infusion provides an effective alternative means of providing
More informationThe clinical studies have been performed in children, adolescents and adults, from 4 years up to 55 years of age.
NAME OF THE MEDICINE TdaP-Booster. Diphtheria, tetanus and pertussis (acellular mono-component) vaccine (adsorbed, reduced antigen content). DESCRIPTION TdaP-Booster is a suspension for injection in pre-filled
More informationNeonatal Reference Guide
Operated by REACH Air Medical Services Assessment Heart Rate (beats/min.) Rate
More informationPATIENT GUIDE. Understand and care for your peripherally inserted central venous catheter (PICC). MEDICAL
PATIENT GUIDE Understand and care for your peripherally inserted central venous catheter (PICC). MEDICAL Introduction The following information is presented as a guideline for your reference. The best
More information